后COVID-19胆血管病变:当前的理解和管理选择
Fadl H Veerankutty1, Kushan Sengupta2, Mukul Vij3
1Institute of Liver Disease and Transplantation, Dr. Rela Institute and Research Centre, Chennai 600044, India. fadl_05@yahoo.com.
World journal of gastrointestinal surgery
|June 21, 2023
概括
冠状病毒后疾病2019 (COVID-19) 胆血管病变 (PCC) 是一种罕见的并发症,导致肝脏问题. 早期发现表明,抗血小板治疗可以改善PCC患者的肝功能.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 病毒学 病毒学
- 胃肠病学 胃肠病学
背景情况:
- 冠状病毒后疾病2019 (COVID-19) 胆血管病变 (PCC) 是COVID-19的一个罕见,严重的并发症.
- 在没有先前肝病的患者中,PCC在康复期间呈现为胆固醇病.
- 确切的PCC原因尚未完全理解,但人们怀疑SARS-CoV-2对胆血管细胞的影响.
研究的目的:
- 审查目前对PCC的理解.
- 讨论它的病理生理学,临床特征和管理.
主要方法:
- 关于PCC的文献综述.
- 对临床表现和治疗结果的分析.
主要成果:
- PCC的发病因子尚不清楚,可能涉及向胆血管细胞的SARS-CoV-2.
- PCC类似但与二次性硬化性胆道炎不同.
- 标准治疗已显示有限的成功;抗血小板治疗显示有前途.
结论:
- PCC是一个独特的实体,需要进一步的研究.
- 针对PCC的有效管理策略仍在不断发展.
- PCC可能导致末期肝病,需要移植.
相关概念视频
Chronic Pancreatitis II: Collaborative Care
116
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
116
Acute Pancreatitis II: Clinical Manifestations and Management
153
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
153
Chronic Bowel Disorders: Introduction
492
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
492
Gastritis III: Clinical Manifestations and Management
342
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
342
Appendicitis-II: Diagnostic Studies and Management
104
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
104
Chronic Pancreatitis I: Introduction
116
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
116
